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目的总结基层医院对妊娠合并糖尿病的临床诊疗体会。方法选取本院妇产科2011年至2012年收治的50例妊娠合并糖尿病孕妇的临床资料进行回顾性分析,作为观察组,根据孕妇的发病孕周及相关症状进行饮食、运动方面的治疗,另选50例妊娠合并糖尿病发生却不进行治疗的孕妇作为对照组,比较两组孕妇的妊娠结局和并发症发生情况。结果妊娠期并糖尿病患者容易引发母婴羊水过多、产后出血等多种并发症的发生,进行积极治疗后观察组患者的并发症发生率与对照组孕妇对比差异有统计学意义(P<0.05)。结论妊娠合并糖尿病患者容易发生母婴并发症,因此早期需进行积极的检查与诊断治疗,降低并发症的发生率。
Objective To summarize the clinical diagnosis and treatment of pregnancy complicated with diabetes in primary hospitals. Methods The clinical data of 50 pregnant women with gestational diabetes mellitus admitted to our hospital from 2011 to 2012 were retrospectively analyzed. As the observation group, diet and exercise were performed according to the gestational weeks of pregnancy and related symptoms of pregnant women. Fifty pregnant women with gestational diabetes mellitus without treatment were selected as the control group, and the pregnancy outcome and complications of the two groups were compared. Results Patients with gestational diabetes mellitus were found to be susceptible to various complications such as polyhydramnios and postpartum hemorrhage. The incidence of complications in observation group after active treatment was significantly lower than that in control group (P <0.05) ). Conclusion Pregnancy with diabetes is prone to maternal and child complications, so the early need for positive examination and diagnosis and treatment, reducing the incidence of complications.